Неприятности с мочеиспусканием: какрассматриватьс точки зрения традиционной китайской медицины？

Пятидесятилетний мужчина сидел перед консультационным столом, морщась и saying: "Недавно у меня всегда капает моча, всегда чувствую, что не вымочил до конца, только встал, снова хочу, очень раздражает." Он вытащил из телефона результаты обследования, все показателивсев норме. Я положил бумагу, не спеша начал обследование, а сначала спросил: "Вы часто боитесь холодов, болит спина, ноги тянутся?" Он замер, кивнул. Such a situation is not uncommon in the clinic, difficulty urinating, dripping, not feeling clean, often not just a simple "inflammation", but the internal Qi transformation function has deviated.

> "Почки, как правитель области, хранят жидкость, Qi transformation может выйти." - "Внутренний канон Huangdi Neijing, Suwen"

Многие думают, что мочеиспускание зависит от "силы", но это не так. По мнению традиционной китайской медицины, мочевой пузырь resembles a reservoir, water flows out not by squeezing, but by a "Qi" on the surface of the water. This Qi is the result of the combined action of kidney Yang Qi and Sanjiao meridian Qi. If Qi is insufficient, water cannot be pushed, manifested as difficulty urinating, dripping, not feeling clean. In clinical practice, such situations are often seen in people with insufficient kidney Yang, often accompanied by fear of cold, frequent nocturnal urination, soreness and weakness in the lower back and knees. To avoid prolonged sitting and catching a cold is the key, especially in autumn and winter, keeping the waist and abdomen warm often brings unexpected improvement.

Уже difficulty urinating, dripping, not feeling clean, but the underlying constitution may be very different. One is mainly "solid", belonging to downward flow of damp-heat. Such people usually have a thick, yellowish tongue coating, yellow and red urine, burning sensation in the urethra, and even accompanied by dry mouth and bitter taste. Another is mainly "deficient", belonging to kidney Qi instability. It is manifested as clear urine, frequent nocturnal urination, fear of cold, fatigue, pale tongue coating and white fur. In clinical practice, it is necessary to first distinguish whether it is mainly damp-heat or kidney deficiency, and the two have completely different adjustment directions. If damp-heat is not cleared and blindly supplemented with heat, it is like adding fuel to the fire; if kidney Qi is already deficient and only heat is cleared, it is like adding salt to the injury. This is why the same difficulty urinating, some people drink cold tea and it works, while others get worse.

> "Insufficient middle Qi, urination changes." - "Ling Shu, Kouwen"

Middle Qi refers to the Qi of the spleen and stomach. The spleen and stomach are the root of the postnatal, responsible for transforming and transporting the essence of grain and grain, and distributing it throughout the body. If the function of the spleen and stomach is weakened, the transformation of dampness and moisture is abnormal, it is easy to form dampness and turbidity, flow into the bladder, interfere with Qi transformation. Such people, in addition to difficulty urinating, dripping, not feeling clean, often have abdominal distension, loose stools, poor appetite. Daily diet, you can add some spleen and dampness ingredients, such as Job's tears, Poria cocos, yam, but you need to pay attention to people with spleen and stomach deficiency and cold should not eat too much cold food.

> "Liver channel, foot Jueyin... Circulates around the perineum, enters the hair, surrounds the genitals, reaches the lower abdomen." - "Huangdi Neijing, Ling Shu"

The liver meridian circulates around the perineum and ascends to the lower abdomen. The liver governs the release, regulates the Qi of the whole body. If the emotions are suppressed, the pressure is too great, leading to liver Qi stagnation and Qi stagnation, it will also affect the Qi transformation function of the bladder. The difficulty urinating in such people is often related to emotional fluctuations, such as wanting to go to the toilet when you are nervous, or the more you are in a hurry, the more you can't urinate. At the same time, it may be accompanied by chest tightness, pain in the ribs, irritability. In clinical practice, some people may have lower abdominal distension, depression, which may belong to liver Qi stagnation and Qi stagnation, not suitable for simple warming kidney Yang, but need to start with soothing the liver and regulating Qi.

> "Liver disease, urine is yellow first." - "Nanjing, Siu Nang"

This sentence reminds us that the color change of urine is closely related to the functional state of the liver. If there is difficulty urinating, dripping, not feeling clean, and at the same time, the urine color becomes darker, the smell becomes heavier, it indicates that there may be dampness and heat stagnation in the body. Dampness and heat are often interrelated: liver Qi stagnation leads to Qi stagnation, Qi stagnation leads to water and dampness not transforming, and heat is produced over time; heat and dampness combine, and in turn, it aggravates liver Qi stagnation. This complex pathological relationship is the essence of traditional Chinese medicine. Daily care, regulating emotions, avoiding staying up late, reducing spicy and stimulating foods, can help improve such urination problems.

> "Kidneys, the master of hibernation, the root of sealing and storing, the place of essence." - "Huangdi Neijing, Suwen"

The kidneys govern sealing and storing, and night is the time when kidney Qi is dominant. If kidney Qi is insufficient, sealing and storing is not performed, it will easily cause frequent nocturnal urination and not feeling clean. Many people with difficulty urinating, dripping, not feeling clean, have to get up several times at night, each time with little urine, but still feel like they haven't emptied it. This is a typical manifestation of kidney Qi instability. In clinical practice, such situations are more common in people with long-term sitting, high work pressure, irregular work and rest, often accompanied by soreness and pain in the lower back and back, memory decline. In terms of care, taking a rest in the afternoon, avoiding overwork, maintaining sufficient sleep are all helpful for the recovery of kidney Qi.

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Were you ever puzzled by this: why is urination always not smooth, even though the examination is normal? The signals sent by the body are sometimes more real than machine reports. Why not ask yourself in a quiet moment: have you been too tired recently? Are you getting enough sleep? Is there anything weighing on your mind? These seemingly unrelated details may be the key to solving the mystery of difficulty urinating, dripping, not feeling clean.